Complaint Investigation Report

374604063-1-31-2023-08-AS-JRAE-CNNS9Q-20230202124106

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SO. CAL AC/SC , 7575 METROPOLITAN DR. #109

This is an official report of an unannounced visit/investigation of a complaint received in our office on

12/28/2022 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20221228081534

Staff did not ensure resident was provided proper assistance with food service

Resident sustained injuries due to staff not assisting resident

Staff did not notify residents representative of the unusual incident

Licensing Program Analyst, Renita Hall (LPA) conducted an unannounced complaint visit to investigate the above-mentioned allegations. LPA gained access to the facility, identified herself, and met with the Director to discuss the purpose of the visit.

A records review and Licensee interview revealed the alleged victim is residing in an Independent Living facility with a different address and not licensed by the Department. The San Diego Regional Office (SDRO) Community Care Licensing (CCL) Division does not have jurisdiction over Independent Living Facilities(ILF), therefore the above allegations are determined to be Unfounded, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. We have therefore dismissed the complaint.

An exit interview was conducted with the Director and a copy of this report and Licensee Appeal Rights (LIC 9058) have been given for facility records.